| NPI | 1336599265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 70604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110502) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.136509) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2025-10-28 |